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Individual

SHALANDA VERJEAN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2959 191ST ST, LANSING, IL 60438-3703
(708) 465-3242
Mailing address
10218 S 84TH TERACE, PALOS HILLS, IL 60465-1376
(708) 465-3242

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
04/17/2019
Last updated
04/16/2023
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